MEDICARE: C3, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	06891	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1982896353	OTHER	IA	GROUP NPI 1982896353
2	1316955594	OTHER	IA	NPI SEAN E. CHARTIER D.C.
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	I21041	OTHER	IA	GROUP PTAN

General Provider Information

NPI Number	:	1982896353
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C3, INC

Provider Business Mailing Address
First Line	:	2601 APACHE CT
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1504
Country	:	US
Telephone Number	:	712-277-9355
Fax Number	:	712-277-9366

Provider Business Practice Location Address
First Line	:	2601 APACHE CT
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-1504
Country	:	US
Telephone Number	:	712-277-9355
Fax Number	:	712-277-9366

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MARK PIERRE CHARTIER
Credential	:
Telephone Number	:	712-277-9355

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	07/23/2021

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Directions to “C3, INC ” Practice Location

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